IJARP SJIF(2018): 4.908

International Journal of Advanced Research and Publications!

Effectiveness Of Preoperative Teachings On The Prevention Of Postoperative Complications To Patients Undergoing Caesarean Section At Gregorio T. Lluch Memorial Hospital (GTLMH), Iligan City

Volume 3 - Issue 3, March 2019 Edition
[Download Full Paper]

Romanoff M. Raki-in, RN, MAN
Preoperative teachings, Postoperative complications, Prevention, Caesarean section
The study aimed to find out the effect of providing preoperative education on the prevention of complications after the surgery in clients undergoing caesarean surgery at Gregorio T. Lluch Memorial Hospital (GTLMH), Iligan City. Thirty (30) sample clients were randomly picked and equally divided into two groups. Fifteen (15) clients for the experimental group and fifteen (15) clients for the control group. This research used a combination of experimental design and descriptive correlation design to know the effect of structured preoperative education on the complications postoperatively. Specifically, the experimental design involved in giving the structured preoperative education to patients having elective caesarean section to investigate the effect of preoperative education on the postoperative outcomes of the control and experimental groups. Results showed that there is no significant relationship between personal data of the clients and postoperative outcomes. However, both groups (experimental and control) shows significant relationship in postoperative outcomes. For experimental group (with preoperative teachings) shows almost no postoperative problems arose as compared to control group in the context of problems in respiratory, deep vein thrombosis, and wound dehiscence. Elective caesarean sections for pregnant women need preoperative health teachings as way in preparation for the surgical intervention to decrease possible postoperative outcome problems. The researcher aimed to evaluate the effects of preoperative teachings in the prevention of postoperative outcome problems to patients undergoing caesarean section in Gregorio T. Lluch Memorial Hospital (GTLMH) in Iligan City. This study can be used as a lead and guide the students’ clinical experience in the operating room and recognized the importance of including preoperative health teachings to their nursing care plans on patients having surgical interventions. This study could also be suggested to the hospital to strictly observe implementation of preoperative health teachings to their clients’ scheduled for surgery.
[1]. J. Arnold, S. Goodacre, P. Bath, and J. Price. (2009) Information sheets for Patients with acute chest pain: randomized controlled trial. British Medical Journal 338, b541.

[2]. A. Arthur, C. Jagger, J. Lindesay, and R. Matthews. (2002) Evaluating a mental health assessment for older people with depressive symptoms in general practice: a randomized controlled trial. British Journal of General Practice 52, 202-207.

[3]. H. Arthur, C. Daniels, R. Mckelvie, J. Hirsh, & B. Rush. (2000) Effect of a preoperative intervention on preoperative and postoperative outcomes in low-risk patients awaiting elective coronary artery bypass graft surgery. A randomized and controlled trial. Annals of Internal Medicine 133, 253-262.

[4]. Daniel Beauchamp, M.D., Mark B. Evers, M.D., Kenneth L. Mattox, M.D., Courtney M. Townsend, and David C. Sabiston, editors. (2001) Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 16th ed. London: W. B. Saunders Company.

[5]. Bernier, M. J., Sanares, D. C., Owen, S. V. & Newhouse, P. L. (2003) Preoperative teaching received and valued in a day surgery setting. AORN Journal 77, 563-582.

[6]. Joyce Black. (2004) “Textbook of Medical Surgical Nursing” 7th Edition, New Delhi, Elsevier Publication.

[7]. N. Burns & S.K. Grove. (2001) The Practice of Nursing Research: Conduct, critique and utilization. 4th Edition. Philadelphia: Saunders.

[8]. L.C. Davies. 2000. Chronic heart failure in the elderly: value of cardiopulmonary exercise testing in risk stratification. Heart, 83: 147 – 151.

[9]. A. Dean and T. Fawcett. “Nurses' use of evidence in preoperative fasting”. Nursing Standard 17, no.12 (December 2002): 33-7.

[10]. Deep vein thrombosis. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/dvt/. Accessed June 1, 2016.

[11]. M. Dixon-Woods. (2001) Writing wrongs? An analysis of published discourses about the use of patient information leaflets. Social Science & Medicine 52, 1417-1432.

[12]. DVT/PE Facts. Centers for Disease Control and Prevention. http://www.cdc.gov/ncbddd/dvt/facts.html. Accessed April 5, 2016.

[13]. E. Eddins, J.I.E. Hu, & H. Liu. (2011) Baccalaureate Nursing Education in China: issues and challenges. Nursing Education Perspectives 32, 30-33.

[14]. K. Eichler, S. Wieser, & U. Brugger. (2009) The cost of limited health literacy: A systematic review. International Journal of Public Health 54, 313-324.

[15]. M.J. Eisenberg, K.B. Filion, A. Azoulay, A.C. Brox, S. Haider & L. Pilote. (2005) Outcomes and cost of coronary artery bypass graft surgery in the United States and Canada. Archives of Internal Medicine 165, 1506-1513.

[16]. Euromonitor International (2011) World Health Databook 2010/2011. Euromonitor International Ltd, London.

[17]. E. Ferrús-Torres, E. Valmaseda-Castellón, L. Berini-Aytés & C. Gay-Escoda. (2011) Informed consent in oral surgery: the value of written information. Journal of Oral and Maxillofacial surgery 69, 54-58.

[18]. E. Fitzpatrick & A. Hyde. (2005) What characterizes the usual preoperative education in clinical contexts? Nursing and Health Sciences 7, 251-258.

[19]. E. Fitzpatrick & A. Hyde. (2006) Nurse-related factors in the delivery of preoperative patient education. Journal of Clinical Nursing 15, 671-677.

[20]. Focus on blood clots. Vascular Disease Foundation. http://vasculardisease.org/deep-vein-thrombosis-venous-disease/ (http://vasculardisease.org/flyers/focus-on-blood-clots-flyer.pdf). Accessed April 1, 2016.

[21]. R. Gallagher & S. Mckinley. (2007) Stressors and anxiety in patients undergoing coronary artery bypass surgery. American Journal of Critical Care 16, 248-257.

[22]. H. Goodman, J. Davison, M. Preedy, E. Peters, P. Waters, B. Persaud-Rai, C. Shuldham, J. Pepper & M.R. Cowie. (2009) Patient and staff perspective of a nurse-led support programme for patients waiting for cardiac surgery: participant perspective of a cardiac support programme. European Journal of Cardiovascular Nursing 8, 67-73.

[23]. Peter Lawrence, Richard M. Bell, and Merrill T. Dayton, editors. (2000) Essentials of General Surgery, 3rd ed. Philadelphia, PA: Lippincott, Williams & Wilkins.

[24]. Louis (2009) “Textbook of Medical Surgical Nursing” 6th Edition, New Delhi, Mosby Publication.

[25]. B. Jie, Z. Jiang, M.T. Nolan, S. Zhu, K. Yu, & J. Kondrup. (2012). Impact of preoperative nutritional support on clinical outcome in abdominal surgical patients at nutritional risk. Nutrition, 28(10), 1022-7. doi:http://dx.doi.org/10.1016/j.nut.2012.01.017

[26]. Michael F. Lubin, Kenneth Walker, and Robert B. Smith, editors. (2003) Medical Management of the Surgical Patient, 4th ed. Cambridge, UK: Cambridge University Press.

[27]. Polit and Hungler (1995) “Nursing Research” 5th Edition, Lippincott Publication.

[28]. Michael Rosen, Jason Brodsky, M.D., Frederick Brody, M.D., and Jeffrey L. Ponsky (2002). The Cleveland Clinic Guide to Surgical Patient Management, 1st ed. Philadelphia, PA: Mosby.

[29]. C. Roy & H. Andrew. The Roy Adaptation Model second edition. (1999) Pearson Education Inc., New Jersey.

[30]. Susan Smeltzer and Brends Bare. (2008) “Text book of Medical Surgical Nursing”, New Delhi, Lippincott publication.

[31]. M. Stanhope & J. Lancaster. (2000). Community and public health nursing. 5th Edition. St. Louis: Mosby.

[32]. Bobbiejean Switzer, M.D., ed. (2000) Handbook of Preoperative Assessment and Management. Philadelphia, PA: Lippincott Williams & Wilkins.

[33]. L.D. Urden, K.M. Stacy, & M.E. Lough. (2002). Thelan’s Critical Care nursing. Diagnosis and Management. 4th edition. United States of America: Mosby.